Thigh-worn accelerometry for measuring movement and posture across the 24-hour cycle: a scoping review and expert statement

Matthew L Stevens; Nidhi Gupta; Elif Inan Eroglu; Patrick Joseph Crowley; Barbaros Eroglu; Adrian Bauman; Malcolm Granat; Leon Straker; Peter Palm; Sari Stenholm; Mette Aadahl; Paul Mork; Sebastien Chastin; Vegar Rangul; Mark Hamer; Annemarie Koster; Andreas Holtermann; Emmanuel Stamatakis

doi:10.1136/bmjsem-2020-000874

Thigh-worn accelerometry for measuring movement and posture across the 24-hour cycle: a scoping review and expert statement

Matthew L Stevens^*, Nidhi Gupta, Elif Inan Eroglu, Patrick Joseph Crowley, Barbaros Eroglu, Adrian Bauman, Malcolm Granat, Leon Straker, Peter Palm, Sari Stenholm, Mette Aadahl, Paul Mork, Sebastien Chastin, Vegar Rangul, Mark Hamer, Annemarie Koster, Andreas Holtermann, Emmanuel Stamatakis

^*Corresponding author for this work

Research output: Contribution to journal › (Systematic) Review article › peer-review

Abstract

Introduction: The Prospective Physical Activity Sitting and Sleep consortium (ProPASS) is an international collaboration platform committed to harmonise thigh-worn accelerometry data. The aim of this paper is to (1) outline observational thigh-worn accelerometry studies and (2) summarise key strategic directions arising from the inaugural ProPASS meeting.

Methods: (1) We performed a systematic scoping review for observational studies of thigh-worn triaxial accelerometers in free-living adults (n≥100, 24 hours monitoring protocols). (2)Attendees of the inaugural ProPASS meeting were sent a survey focused on areas related to developing ProPASS: important terminology (Q1); accelerometry constructs (Q2); advantages and distinct contribution of the consortium (Q3); data pooling and harmonisation (Q4); data access and sharing (Q5 and Q6).

Results: (1) Eighty eligible articles were identified (22 primary studies; n~17 685). The accelerometers used most often were the ActivPAL3 and ActiGraph GT3X. The most commonly collected health outcomes were cardiometabolic and musculoskeletal. (2) None of the survey questions elicited the predefined 60% agreement. Survey responses recommended that ProPASS: use the term physical behaviour or movement behaviour rather than 'physical activity' for the data we are collecting (Q1); make only minor changes to ProPASS's accelerometry construct (Q2); prioritise developing standardised protocols/tools (Q4); facilitate flexible methods of data sharing and access (Q5 and Q6).

Conclusions: Thigh-worn accelerometry is an emerging method of capturing movement and posture across the 24 hours cycle. In 2020, the literature is limited to 22 primary studies from high-income western countries. This work identified ProPASS's strategic directions-indicating areas where ProPASS can most benefit the field of research: use of clear terminology, refinement of the measured construct, standardised protocols/tools and flexible data sharing.

Original language	English
Article number	e000874
Number of pages	12
Journal	BJM Open Sport & Exercise Medicine
Volume	6
Issue number	1
DOIs	https://doi.org/10.1136/bmjsem-2020-000874
Publication status	Published - 24 Dec 2020

Keywords

ASSOCIATION
BLUE-COLLAR WORKERS
HEALTH
LEISURE-TIME
LOW-BACK-PAIN
MEASURED PHYSICAL-ACTIVITY
OLDER-ADULTS
SEDENTARY BEHAVIOR
SLEEP
TRUNK
accelerometer
physical activity
review
Physical activity
Review
Accelerometer

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Stevens, M. L., Gupta, N., Inan Eroglu, E., Crowley, P. J., Eroglu, B., Bauman, A., Granat, M., Straker, L., Palm, P., Stenholm, S., Aadahl, M., Mork, P., Chastin, S., Rangul, V., Hamer, M., Koster, A., Holtermann, A., & Stamatakis, E. (2020). Thigh-worn accelerometry for measuring movement and posture across the 24-hour cycle: a scoping review and expert statement. BJM Open Sport & Exercise Medicine, 6(1), Article e000874. https://doi.org/10.1136/bmjsem-2020-000874

@article{05a675e9cc9e4f7d81c2c7db75c2a6b0,

title = "Thigh-worn accelerometry for measuring movement and posture across the 24-hour cycle: a scoping review and expert statement",

abstract = "Introduction: The Prospective Physical Activity Sitting and Sleep consortium (ProPASS) is an international collaboration platform committed to harmonise thigh-worn accelerometry data. The aim of this paper is to (1) outline observational thigh-worn accelerometry studies and (2) summarise key strategic directions arising from the inaugural ProPASS meeting.Methods: (1) We performed a systematic scoping review for observational studies of thigh-worn triaxial accelerometers in free-living adults (n≥100, 24 hours monitoring protocols). (2)Attendees of the inaugural ProPASS meeting were sent a survey focused on areas related to developing ProPASS: important terminology (Q1); accelerometry constructs (Q2); advantages and distinct contribution of the consortium (Q3); data pooling and harmonisation (Q4); data access and sharing (Q5 and Q6).Results: (1) Eighty eligible articles were identified (22 primary studies; n~17 685). The accelerometers used most often were the ActivPAL3 and ActiGraph GT3X. The most commonly collected health outcomes were cardiometabolic and musculoskeletal. (2) None of the survey questions elicited the predefined 60% agreement. Survey responses recommended that ProPASS: use the term physical behaviour or movement behaviour rather than 'physical activity' for the data we are collecting (Q1); make only minor changes to ProPASS's accelerometry construct (Q2); prioritise developing standardised protocols/tools (Q4); facilitate flexible methods of data sharing and access (Q5 and Q6).Conclusions: Thigh-worn accelerometry is an emerging method of capturing movement and posture across the 24 hours cycle. In 2020, the literature is limited to 22 primary studies from high-income western countries. This work identified ProPASS's strategic directions-indicating areas where ProPASS can most benefit the field of research: use of clear terminology, refinement of the measured construct, standardised protocols/tools and flexible data sharing.",

keywords = "ASSOCIATION, BLUE-COLLAR WORKERS, HEALTH, LEISURE-TIME, LOW-BACK-PAIN, MEASURED PHYSICAL-ACTIVITY, OLDER-ADULTS, SEDENTARY BEHAVIOR, SLEEP, TRUNK, accelerometer, physical activity, review, Physical activity, Review, Accelerometer",

author = "Stevens, {Matthew L} and Nidhi Gupta and {Inan Eroglu}, Elif and Crowley, {Patrick Joseph} and Barbaros Eroglu and Adrian Bauman and Malcolm Granat and Leon Straker and Peter Palm and Sari Stenholm and Mette Aadahl and Paul Mork and Sebastien Chastin and Vegar Rangul and Mark Hamer and Annemarie Koster and Andreas Holtermann and Emmanuel Stamatakis",

note = "Funding Information: Funding ProPASS has received financial support by the British Heart Foundation (SP/F/20/150002), the National Healthand Medical Research Council (Australia) (APP1180812, APP1194510, and an equipmet grant), PAL Technologies (Scotland, UK); the Worldwide Universities Network–Research Development Fund 2018; the Charles Perkins Centre of the University of Sydney; the University of Sydney{\textquoteright}s SOAR programme, Loughborough University (UK) and in-kind support by the National Research Centre for the Working Environment, Copenhagen. Publisher Copyright: {\textcopyright} 2020 The Author(s).",

year = "2020",

month = dec,

day = "24",

doi = "10.1136/bmjsem-2020-000874",

language = "English",

volume = "6",

journal = "BJM Open Sport & Exercise Medicine",

issn = "2055-7647",

publisher = "BMJ Publishing Group",

number = "1",

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Stevens, ML, Gupta, N, Inan Eroglu, E, Crowley, PJ, Eroglu, B, Bauman, A, Granat, M, Straker, L, Palm, P, Stenholm, S, Aadahl, M, Mork, P, Chastin, S, Rangul, V, Hamer, M, Koster, A, Holtermann, A & Stamatakis, E 2020, 'Thigh-worn accelerometry for measuring movement and posture across the 24-hour cycle: a scoping review and expert statement', BJM Open Sport & Exercise Medicine, vol. 6, no. 1, e000874. https://doi.org/10.1136/bmjsem-2020-000874

TY - JOUR

T1 - Thigh-worn accelerometry for measuring movement and posture across the 24-hour cycle

T2 - a scoping review and expert statement

AU - Stevens, Matthew L

AU - Gupta, Nidhi

AU - Inan Eroglu, Elif

AU - Crowley, Patrick Joseph

AU - Eroglu, Barbaros

AU - Bauman, Adrian

AU - Granat, Malcolm

AU - Straker, Leon

AU - Palm, Peter

AU - Stenholm, Sari

AU - Aadahl, Mette

AU - Mork, Paul

AU - Chastin, Sebastien

AU - Rangul, Vegar

AU - Hamer, Mark

AU - Koster, Annemarie

AU - Holtermann, Andreas

AU - Stamatakis, Emmanuel

N1 - Funding Information: Funding ProPASS has received financial support by the British Heart Foundation (SP/F/20/150002), the National Healthand Medical Research Council (Australia) (APP1180812, APP1194510, and an equipmet grant), PAL Technologies (Scotland, UK); the Worldwide Universities Network–Research Development Fund 2018; the Charles Perkins Centre of the University of Sydney; the University of Sydney’s SOAR programme, Loughborough University (UK) and in-kind support by the National Research Centre for the Working Environment, Copenhagen. Publisher Copyright: © 2020 The Author(s).

PY - 2020/12/24

Y1 - 2020/12/24

N2 - Introduction: The Prospective Physical Activity Sitting and Sleep consortium (ProPASS) is an international collaboration platform committed to harmonise thigh-worn accelerometry data. The aim of this paper is to (1) outline observational thigh-worn accelerometry studies and (2) summarise key strategic directions arising from the inaugural ProPASS meeting.Methods: (1) We performed a systematic scoping review for observational studies of thigh-worn triaxial accelerometers in free-living adults (n≥100, 24 hours monitoring protocols). (2)Attendees of the inaugural ProPASS meeting were sent a survey focused on areas related to developing ProPASS: important terminology (Q1); accelerometry constructs (Q2); advantages and distinct contribution of the consortium (Q3); data pooling and harmonisation (Q4); data access and sharing (Q5 and Q6).Results: (1) Eighty eligible articles were identified (22 primary studies; n~17 685). The accelerometers used most often were the ActivPAL3 and ActiGraph GT3X. The most commonly collected health outcomes were cardiometabolic and musculoskeletal. (2) None of the survey questions elicited the predefined 60% agreement. Survey responses recommended that ProPASS: use the term physical behaviour or movement behaviour rather than 'physical activity' for the data we are collecting (Q1); make only minor changes to ProPASS's accelerometry construct (Q2); prioritise developing standardised protocols/tools (Q4); facilitate flexible methods of data sharing and access (Q5 and Q6).Conclusions: Thigh-worn accelerometry is an emerging method of capturing movement and posture across the 24 hours cycle. In 2020, the literature is limited to 22 primary studies from high-income western countries. This work identified ProPASS's strategic directions-indicating areas where ProPASS can most benefit the field of research: use of clear terminology, refinement of the measured construct, standardised protocols/tools and flexible data sharing.

AB - Introduction: The Prospective Physical Activity Sitting and Sleep consortium (ProPASS) is an international collaboration platform committed to harmonise thigh-worn accelerometry data. The aim of this paper is to (1) outline observational thigh-worn accelerometry studies and (2) summarise key strategic directions arising from the inaugural ProPASS meeting.Methods: (1) We performed a systematic scoping review for observational studies of thigh-worn triaxial accelerometers in free-living adults (n≥100, 24 hours monitoring protocols). (2)Attendees of the inaugural ProPASS meeting were sent a survey focused on areas related to developing ProPASS: important terminology (Q1); accelerometry constructs (Q2); advantages and distinct contribution of the consortium (Q3); data pooling and harmonisation (Q4); data access and sharing (Q5 and Q6).Results: (1) Eighty eligible articles were identified (22 primary studies; n~17 685). The accelerometers used most often were the ActivPAL3 and ActiGraph GT3X. The most commonly collected health outcomes were cardiometabolic and musculoskeletal. (2) None of the survey questions elicited the predefined 60% agreement. Survey responses recommended that ProPASS: use the term physical behaviour or movement behaviour rather than 'physical activity' for the data we are collecting (Q1); make only minor changes to ProPASS's accelerometry construct (Q2); prioritise developing standardised protocols/tools (Q4); facilitate flexible methods of data sharing and access (Q5 and Q6).Conclusions: Thigh-worn accelerometry is an emerging method of capturing movement and posture across the 24 hours cycle. In 2020, the literature is limited to 22 primary studies from high-income western countries. This work identified ProPASS's strategic directions-indicating areas where ProPASS can most benefit the field of research: use of clear terminology, refinement of the measured construct, standardised protocols/tools and flexible data sharing.

KW - ASSOCIATION

KW - BLUE-COLLAR WORKERS

KW - HEALTH

KW - LEISURE-TIME

KW - LOW-BACK-PAIN

KW - MEASURED PHYSICAL-ACTIVITY

KW - OLDER-ADULTS

KW - SEDENTARY BEHAVIOR

KW - SLEEP

KW - TRUNK

KW - accelerometer

KW - physical activity

KW - review

KW - Physical activity

KW - Review

KW - Accelerometer

U2 - 10.1136/bmjsem-2020-000874

DO - 10.1136/bmjsem-2020-000874

M3 - (Systematic) Review article

C2 - 33408875

SN - 2055-7647

VL - 6

JO - BJM Open Sport & Exercise Medicine

JF - BJM Open Sport & Exercise Medicine

IS - 1

M1 - e000874

ER -

Thigh-worn accelerometry for measuring movement and posture across the 24-hour cycle: a scoping review and expert statement

Abstract

Keywords

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